Echo exam of fetal heart at MultiCare Valley Hospital

12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251

Source: hospital's published price file ↗ · Published Aug 27, 2026 · Ingested Sep 17, 2026

$1,844.00

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$4,610.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$68.97 with Molina vs $3,319.20 with First Health — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Molina Apple Health $68.97 ↓ -96%
Coordinated Care Apple Health $69.65 ↓ -96%
WellPoint Apple Health $69.65 ↓ -96%
United Healthcare Apple Health $71.00 ↓ -96%
Community Health Plan of Washington Apple Health $73.03 ↓ -96%
Blue Cross of Idaho MedAdvantage $614.62 ↓ -67%
Aetna MedAdvantage $614.62 ↓ -67%
Regence MedAdvantage $614.62 ↓ -67%
United Healthcare MedAdvantage $620.59 ↓ -66%
Molina MedAdvantage $626.55 ↓ -66%
WellCare MedAdvantage $626.55 ↓ -66%
Community Health Plan of Washington MedAdvantage $656.39 ↓ -64%
Premera HMO $889.33 ↓ -52%
Community Health Plan of Washington Cascade Care $1,006.06 ↓ -45%
Ambetter Coordinated Care Exchange $1,103.93 ↓ -40%
Premera Other Commercial Plans $1,459.73 ↓ -21%
Premera Signature $1,459.73 ↓ -21%
Premera Prime $1,459.73 ↓ -21%
Regence/Asuris Commercial $1,491.79 ↓ -19%
United Healthcare Commercial $1,695.49 ↓ -8%
First Choice MHS Employee MCC/PPO $1,712.62 ↓ -7%
Cigna Commercial $1,716.19 ↓ -7%
Aetna All Commercial Plans $2,049.46 ↑ +11%
First Choice MCC Wellfound Employee $2,229.86 ↑ +21%
Kaiser PPO $2,238.93 ↑ +21%
First Choice PPO $3,231.61 ↑ +75%
Multiplan/PHCS All Commercial Plans $3,319.20 ↑ +80%
First Health All Commercial Plans $3,319.20 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Echo exam of fetal heart at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,312.16 $632.74 – $2,263.43
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,178.40 $608.89 – $1,733.69
Swedish Medical Center Cherry Hill Seattle $2,312.16 $632.74 – $2,191.19
Swedish Issaquah Issaquah $2,312.16 $634.52 – $2,263.43
Central Medical Center Seattle $1,881.60 $549.00 – $549.00
Providence St Mary Medical Center Walla Walla $3,188.50 $488.84 – $1,126.45
Kadlec Regional Medical Center Richland $1,467.90 $454.37 – $1,882.98
Providence Regional Medical Center Everett - Colby Campus Everett $1,483.04 $622.26 – $2,022.64

All Washington hospitals for this procedure →